《口腔麻醉与拔牙》PPT课件.ppt

Oral local anesthesia and extraction of teethLocal anesthetic agentTetracaine(dicaine)ProcaineLidocaineBupivacaine Articaine(碧兰麻)Kinds of local anesthesia superficial anesthesiainfiltration anethesiablock anethesia or conduction anethesiablock anethesia or conduction anethesia Block anethesia of posterior superior alveolar neverBlock anethesia of anterior palatine neverBlock anethesia of nasopalatine nerveBlock anethesia of infraorbital nerveBlock anethesia of inferior alveolar nerveBlock anethesia of lingual nerveBlock anethesia of buccal nerve Block anethesia of posterior superior alveolar never解剖标志:上颌结节进针点操作要点麻醉范围Block anethesia of anterior palatine never解剖标志:腭大孔进针点操作要点麻醉范围Block anethesia of nasopalatine nerve解剖标志:切牙孔进针点操作要点麻醉范围Block anethesia of infraorbital nerve解剖标志:眶下孔进针点操作要点麻醉范围Block anethesia of inferior alveolar nerve解剖标志:下颌孔进针点操作要点麻醉范围Block anethesia of maxillary nerve解剖标志:圆孔进针点操作要点翼腭管注射法颧下翼突注射法麻醉范围Block anethesia of mandibular nerve解剖标志:卵圆孔进针点操作要点麻醉范围Complications of local anethesia and precaution and treatment SwoonAnaphylaxisToxicationInfectionHematomaBreaking the needle Facial paralysisExtraction of teethIndicationlSevere carieslPeridontitis lSevere apixlDelayed deciduous teethlMultidentine malposedlImpacted teethlTraumatismlOrthodontic treatmentlTeeth that are foci of infection lExtraction for treatment ContraindicationlBloody disease:hemophilia refactory anemia leukemialCardiovascular diseaselDiabetes mellituslHyperthyroidism:thyr-oid crisislNephropathylHepatitislPregnancy and menstruationlAcute infectionlMalignent tumorInstrumentsDental forceps,elevator,chisel,Gingival seperator,curette,malletSteps for extraction分离牙龈挺松牙齿安插牙钳摇动或扭转拔出拔牙创的处理Cautions各类牙拔除术阻生牙拔除牙根拔除Huring of extraction拔牙创出血及血块形成血块机化骨组织的修复上皮覆盖拔牙创Complications of extraction of teethOperative complicationsPostoperative complicationspostoperative hemorrhageinfectionAcute infectionDry socketChronic infectionGoodbye